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August 13-15, 2008 • Miami Beach, Florida Travel Information Speaker Application Contact Us Home
 

REGISTRATION FORM

One form per registrant.
PLEASE FILL IN THE REQUESTED INFORMATION BELOW and click the "Submit" button.
(* Required Information)

ATTENDEE INFORMATION
E-mail Address:*

A valid email address is required for registration confirmation. FIME does not release e-mail addresses to any third party.
First Name:*
Last Name:*
Company:
Job Title
Address Line 1:*
Address Line 2:
City:*
State/Province:*
Zip Code:*
Country:*
Area Code:*
Phone Number:*
Fax:



ATTENDEE PROFILE

Business Category (check one that best describes)
Home Medical Equip. Supplier Manufacturer - Medical Products
Sub-Acute Care/ Nursing Services Government Agency
Telecommunications - Medical Financial Services
Computer/ IS Services - Medical Pharmacy/ Drug Store
Hospital/ Clinic Private Practice - Medical
Manufacturer Rep - Medical Industry Association
Laboratory - Medical Press
Distributor - Medical Products Long Term Care/ Nursing Services
Insurance/ HMO/ MCO/ PPO Emergency Medical Service
Consultant - Medical Services University/ College
Other:

Position/ Title (check one that best describes)
Pres./ Owner/ CEO/ Dir. Purchasing Manager/ Rep
Office Manager Social Worker
Service/ Repair Manager Professor
General Manager Marketing Manager/ Rep
Finance Manager Administrator
MIS/ IS Dir./ Manager Government Official
Product Manager Patient Services
Accounting Manager Customer Service
Consultant Product R&D
Sales Manager/ Rep Case Manager
Operations Manager Discharge Planner
Distribution/ Shipping Manager Student

Medical Product/ Service Interests (check all that apply)
Home Medical Equipment Medical/ Surgical Equipment
Incontinence/ Ostomy Pharmaceuticals
Aids to Daily Living Medical Software/ Hardware
Healthcare Networks General Medicine Office Equipment
Hospital Equipment Wound Care/ Skin Care
Sports Medicine IV Therapy
Medical Automation Billing/ Claims Systems
Patient Referral Services Distribution/ Shipping
Respiratory Equipment Rehab. Products/ Services
Diagnostics Orthotics/ Prosthetics
Telemedicine Services Internet Medical Systems
Outcomes Management Practice/ Business Management

For questions about registration, click here or call (941) 366-2554 between the hours of 9:00 a.m. - 5:00 p.m. EST.
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